A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?
Inject 0.3 to 0.5 mL of the solution.
Select an injection site that is free of scar tissue.
Hold the needle at a 30° angle during injection.
Massage the site following the injection.
The Correct Answer is B
A. Inject 0.3 to 0.5 mL of the solution: The typical volume for a tuberculin skin test is 0.1 mL.
B. Select an injection site that is free of scar tissue: Scar tissue can interfere with the reading of the tuberculin skin test, so a site free of scars should be selected.
C. Hold the needle at a 30° angle during injection: The needle should be held at a 5–15° angle for intradermal injections.
D. Massage the site following the injection: Massaging the site is not recommended as it could affect the accuracy of the test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Your child will receive another MMR immunization and the hepatitis B immunization at 3 years of age.": The next MMR immunization is typically at 4-6 years, not 3 years.
B. "Your child will receive two more MMR immunizations over the next 2 years.": Only one more MMR vaccine is given at 4-6 years of age.
C. "Your child will receive another MMR immunization at 4 to 6 years of age.": The second dose of MMR is given between 4-6 years of age.
D. "Your child will have an MMR titer taken to determine the need for further immunizations.": Routine titers are not required for MMR unless there is a specific concern.
Correct Answer is ["A","B","C","D","E","F"]
Explanation
A. "This medication should start to alleviate the headache within 1 hour.": Triptans typically provide relief within 1 to 2 hours after administration.
B. "You might experience a feeling of pressure in your chest after taking this medication.": Some clients report a sensation of tightness or pressure in the chest, which is a known, generally benign side effect of triptans.
C. "Do not take more than 200 milligrams of this medication within 24 hours.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
E. "You should discontinue this medication if pregnancy is planned or suspected." Triptans are classified as Category C drugs and should be avoided during pregnancy unless the potential benefit outweighs the risk.
F. "This medication can cause you to feel tired.": Feeling tired is a common side effect of triptans.
G. "You might experience a rash on your skin while taking this medication.": A rash is not a common or expected side effect of triptans. Skin reactions are not a primary concern with these medications unless the client has an allergic response.
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